Nursing Elites

1. What is hydroxyapatite?

• A. A mixture of minerals such as calcium and phosphorus that strengthen the collagen matrix of bone.
• B. The structural unit of a bone that runs the length of the bone.
• C. The covering of bones at the point of articulation to prevent grinding.
• D. The lightest portion of a long bone and concentrated at the ends.

Correct answer: A

Rationale: Hydroxyapatite is a mineral compound composed of calcium and phosphorus that plays a crucial role in strengthening the collagen matrix of bones, contributing to their structural integrity and hardness. It is a key component of bone tissue and provides the mineralization necessary for bone strength and density. Choice B is incorrect because the structural unit of a bone is the osteon or Haversian system, not hydroxyapatite. Choice C is incorrect as it describes cartilage, not hydroxyapatite. Choice D is incorrect as it refers to the epiphysis, which is not synonymous with hydroxyapatite.

2. What is the neural pathway that triggers a reflex action?

• A. Reflex loop
• B. Reflex arc
• C. Neural pathway
• D. Reflex reaction

Correct answer: B

Rationale: The correct answer is 'B: Reflex arc.' A reflex arc is the neural pathway that triggers an automatic, involuntary reflex action in response to a stimulus. It involves sensory neurons, interneurons in the spinal cord, and motor neurons, allowing for a rapid response without conscious thought. Choice A, 'Reflex loop,' is incorrect as the term commonly used is 'Reflex arc' to describe this neural pathway. Choice C, 'Neural pathway,' is too general and does not specifically refer to the pathway involved in reflex actions. Choice D, 'Reflex reaction,' is not the commonly accepted term to describe the neural pathway that triggers reflex actions.

3. In order to verify if a particular drug is responsible for the recovery of individuals with a disorder, what procedure would be most effective in testing its effectiveness?

• A. Ensure that neither the subjects nor the investigators know which subjects are given the drug and which are given the placebo.
• B. Ensure that the subjects do not know whether they are given the drug or the placebo, but the investigators are aware of who has received the medication.
• C. Ensure that the investigators do not know whether they are administering the drug or the placebo, but the subjects do know which they are receiving.
• D. Ensure that both the investigators and the subjects have full knowledge of which subjects are getting the drug and which are getting a placebo.

Correct answer: A

Rationale: The most effective procedure in testing whether the drug is responsible for the recovery is to ensure that neither the subjects nor the investigators know which subjects are given the drug and which are given the placebo. This method is known as a double-blind study, which helps eliminate biases and ensures that the results are reliable and not influenced by expectations or beliefs. By keeping both the subjects and investigators unaware of who is receiving the drug or placebo, the study can accurately determine the true impact of the drug on recovery. Choice B is incorrect as it only prevents the subjects from knowing which treatment they are receiving, allowing for potential bias from the investigators. Choice C is also incorrect as it allows for potential bias from the subjects. Choice D is incorrect as full knowledge of treatment allocation can introduce bias and affect the study's validity.

4. Through what tubes does urine travel from the kidneys to the bladder?

• A. Urethra
• B. Ureters
• C. Renal arteries
• D. Renal veins

Correct answer: B

Rationale: The correct answer is 'Ureters.' The ureters are the tubes that transport urine from the kidneys to the bladder. The urethra, not a choice in this question, is the tube responsible for carrying urine from the bladder out of the body. Renal arteries and veins are blood vessels that respectively supply and drain the kidneys, not involved in the transport of urine to the bladder.

5. Which of the following hormones would cause skin color to become darker?

• A. Follicle-stimulating
• B. Growth-stimulating
• C. Thyroid-stimulating
• D. Melanocyte-stimulating

Correct answer: D

Rationale: The correct answer is D, Melanocyte-stimulating. Melanocyte-stimulating hormone (MSH) stimulates melanocytes in the skin to produce more melanin, leading to darker skin pigmentation. Choices A, B, and C are incorrect as Follicle-stimulating hormone (FSH) stimulates follicle growth in the reproductive system, Growth-stimulating hormone is a vague term not specific to any known hormone, and Thyroid-stimulating hormone (TSH) stimulates the thyroid gland to produce thyroid hormones, not affecting skin color pigmentation.

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